{include file ='leadsheader.tpl'}
<form name="frmLeads" Method="POST" Action="php/admin/Leads/uploadLeadsAction.php" >
<input type="hidden" name="seletID" value="{$seletID}">
<table width="100%" border="0" align="center" cellpadding="0" cellspacing="0">
<tr>
<td> </td>
</tr>
<tr>
<td>
<table width="100%" border="0" align="center" cellpadding="0" cellspacing="0">
<tr>
<td colspan="3"><table cellpadding="0" cellspacing="0" border="0" width="100%">
<TR>
<TD class="table_top_left"> </TD>
<TD class="table_top_center">
<table cellspacing="0" border="0" cellpadding="0" width="100">
<TR>
<td class="heading_left" width="3" ><img src="http://{$site}/images/spacer.gif" width="3" height="1"></td>
<td class="heading_center" nowrap width="82">Leads</td>
<td class="heading_right" width="9"> </td>
</tr>
</table>
</TD>
<TD class="table_top_right"> </td>
</TR>
</table>
</td>
</tr>
</table>
<table width="100%" border="0" align="center" cellpadding="0" cellspacing="0">
<tr>
<td valign="top" bgcolor="#AC0B0B" width="2"></td>
<td align="center" valign="top">
<table width="100%" border="0" align="center" cellpadding="3" cellspacing="0">
<tr style="height:20">
<td colspan="5"></td>
</tr>
<tr>
<td width="9%"> </td>
<td valign="top"><span class="controllabel">Groups</span> <span class="controllabelred">Owned</span></td>
<td valign="top">
<select name="selGroupOwned" class="select_input" multiple>
<option value="-1">---Select---</option>
</select>
</td>
<td valign="top"><span class="controllabel">Groups</span> <span class="controllabelred">Member</span></td>
<td valign="top">
<select name="selGroupMember" class="select_input" multiple>
<option value="-1">---Select---</option>
</select>
</td>
</tr>
<tr>
<td class="alternatetablerow" width="9%"> </td>
<td valign="top" class="alternatetablerow"><span class="controllabel">Roles</span></td>
<td valign="top" class="alternatetablerow">
<select name="selRoles" class="select_input">
<option value="-1">---Select---</option>
</select>
</td>
<td valign="top" class="alternatetablerow"><span class="controllabel">Report To</span></td>
<td valign="top" class="alternatetablerow">
<select name="selReportTo" class="select_input">
<option value="-1">---Select---</option>
</select>
</td>
</tr>
<tr>
<td width="9%"> </td>
<td><span class="controllabel">Login ID</span></td>
<td colspan="3">
<input type="text" name="txtLoginID" value="" size="20" maxlength="100" class="textbox_input">
</td>
</tr>
<tr>
<td class="alternatetablerow" width="9%"> </td>
<td class="alternatetablerow"><span class="controllabel">Password</span></td>
<td class="alternatetablerow">
<input type="password" name="txtPassword" value="" size="20" maxlength="100" class="textbox_input">
</td>
<td class="alternatetablerow"><span class="controllabel">Confirm Password</span></td>
<td class="alternatetablerow">
<input type="password" name="txtConfirmtxtPassword" value="" size="20" maxlength="100" class="textbox_input">
</td>
</tr>
<tr>
<td width="9%"> </td>
<td><span class="controllabel">First Name <sup><span class="mandatory">*</span></sup></span></td>
<td>
<input type="password" name="txtFirstName" value="" size="20" maxlength="100" class="textbox_input">
</td>
<td><span class="controllabel">Last Name <sup><span class="mandatory">*</span></sup></span></span></td>
<td>
<input type="password" name="txtLastName" value="" size="20" maxlength="100" class="textbox_input">
</td>
</tr>
<tr>
<td class="alternatetablerow" width="9%"> </td>
<td class="alternatetablerow"><span class="controllabel">Active</td>
<td class="alternatetablerow">
<input type="checkbox" name="chkActive" value="Y" class="textbox_input" checked>
</td>
<td class="alternatetablerow"><span class="controllabel">Company Name <sup><span class="mandatory">*</span></sup></span></td>
<td class="alternatetablerow">
<input type="password" name="txtCompanyName" value="" size="20" maxlength="100" class="textbox_input">
</td>
</tr>
</table>
</td>
<td valign="top" bgcolor="#AC0B0B" width="2"></td>
</tr>
</table>
<table width="100%" border="0" align="center" cellpadding="0" cellspacing="0">
<tr>
<td valign="top" bgcolor="#AC0B0B" width="2"></td>
<td> </td>
<td valign="top" bgcolor="#AC0B0B" width="2"></td>
</tr>
<tr>
<td valign="top" bgcolor="#AC0B0B" width="2"></td>
<td align="center">
<table cellpadding="3" cellspacing="0" border="0">
<tr>
<td align="center"><input type="button" name="Submit" class="button_submit"></td>
<td align="center"><input type="button" name="Reset" class="button_reset"></td>
<td align="center"><input type="button" name="Close" class="button_close"></td>
</tr>
</table>
</td>
<td valign="top" bgcolor="#AC0B0B" width="2"></td>
</tr>
</table>
<table width="100%" border="1" align="center" cellpadding="0" cellspacing="0" height="10%">
<tr>
<td align="left" width="40" class="table_bot_left" valign="top" height="40" ></td>
<td background="images/bottom_center.gif" > </td>
<td align="right" width="60"><img src="images/bottom_right_curve.png" width="60" height="40"></td>
</tr>
</table>
</td>
</tr>
</table>
<!--
<table width="100%" border="0" align="center" cellpadding="0" cellspacing="0">
<tr>
<td colspan="3">
<table cellpadding="0" cellspacing="0" border="0" width="100%">
<TR>
<TD class="table_top_left"> </TD>
<TD class="table_top_center">
<table cellspacing="0" border="0" cellpadding="0" width="100">
<TR>
<td class="heading_left" width="3" ><img src="http://{$site}/images/spacer.gif" width="3" height="1"></td>
<td class="heading_center" nowrap width="82">Leads</td>
<td class="heading_right" width="9"> </td>
</tr>
</table>
</TD>
<TD class="table_top_right"> </td>
</TR>
</table>
</td>
</tr>
</table>
</td>
</tr>
</table>
<tr>
<td>
<table>
<tr>
<input type="hidden" name="RawLeadID" value="{$RawLeadID}">
<td colspan="4" align="center"><span class="message">{$msg1}</span></td>
</tr>
<tr>
<td colspan="4" align="center"><span class="message">{$msg}</span></td>
</tr>
<tr>
<td class="first">LeadName</td><td class="second">{$LeadName}</td>
<td class="first">Type Of Contact</td><td class="second">{$TypeOfContact}</td>
</tr>
<tr>
<td class="first">Line Of Business</td><td class="second">{$LineOfBusiness}</td>
<td class="first">Contact No</td><td class="second">{$ContactNo}</td>
</tr>
<tr>
<td class="first" colspan="2">Lead StatusĀ </td>
<td>
<select name=cmbLeadStatus onpropertychange="showProductdiv()">
{if $cmbLeadStatus EQ ""}
<option value=0>----Select----</option>
{else}
{/if}
{html_options values=$ObjectID output=$ObjectName selected=$cmbLeadStatus}
</select>
</td>
</tr>
</table>
<tr>
<td>
<div id="Claform" style="display:none;">
<table border="1">
<tr>
<td class="first">Appointment Date</td>
<td><input type="text" name="txtAppDt" value="" readonly></td>
<td>
<img src="images/calendar.gif" width="30" height="19" id="anchor1" onclick="displayCalendar(document.frmLeads.txtAppDt,'yyyy-mm-dd',document.frmLeads.txtAppDt)"></td>
</tr>
</table>
</div>
</td>
</tr>
<div id="prodform" style="display:none;">
<tr>
<td colspan="4">
<table border="1">
<tr>
<td class="first">Template Reference Number</td>
<td><input type="text" name="trn" value=""></td>
</tr>
<tr>
<td class="first">WebSite1</td>
<td><input type="text" name="website1" value=""></td>
</tr>
<tr>
<td class="first">WebSite2</td>
<td><input type="text" name="website2" value=""></td>
</tr>
<tr>
<td class="first">WebSite3</td>
<td><input type="text" name="website3" value=""></td>
</tr>
<tr>
<td class="first">WebSite4</td>
<td><input type="text" name="website4" value=""></td>
</tr>
<tr>
<td class="first">WebSite5</td>
<td><input type="text" name="website5" value=""></td>
</tr>
<tr>
<td class="first">Upload File</td>
<td>
<iframe id="popupsWebsite" src="" style="display:none" width="315" height="30" frameborder="text/css" scrolling="No" marginheight="0"></iframe>
</td>
</tr>
<tr>
<td class="first">Uplaoded File Name</td>
<td>{$OrgFileName}</td></tr>
<input type="hidden" name="OrgFileName" value="{$OrgFileName}">
<input type="hidden" name="DocName" value="{$DocName}">
<input type="hidden" name="DocPath" value="{$DocPath}">
</table>
</div>
<tr>
<td class="first" colspan="4" align="center"><input type="button" name="save" value="save" onclick="saveLeadStatus('frmLeads')"></td>
</tr>
</td>
</tr> -->
</form>
<script language="javascript">asu();</script>